Disorders of communication, social relationships, and psychomotricity are often characterized by cognitive impairment, which hinders daily activities and increases the risk of falls. This study aimed to evaluate the efficacy of an animal-assisted therapy (AAT) program in an institutionalized geriatric population with cognitive impairment. The variables evaluated included level of communication and changes in gait and/or balance. We performed a two-arm, parallel controlled, open-label, nonrandomized cluster clinical trial in two nursing home centers from an urban area. Patients in the two centers received 12 weekly sessions of physiotherapy, but the experimental group included AAT with a therapy dog. The study included a total of 46 patients (23 Control Group [CG], 23 Experimental Group [EG]) with a median age of 85.0 years. Of these, 32.6% had mild–moderate cognitive decline (Global Deterioration Scale of Reisberg [GDS] 2–4) and 67.4% severe cognitive decline (GDS 5–6). After the intervention, patients in the CG and EG showed a statistically significant improvement in all the response variables. When comparing both groups, no statistically significant differences were found in any of the Tinetti scale results (measuring gait and balance). However, the communication of patients in the EG, measured on the Holden scale, showed a statistically significant greater improvement postintervention than that of patients in the CG. AAT can be useful as a complementary, effective treatment for patients with different degrees of cognitive decline.
Chronic joint pain is associated to an increase in the consumption of medication and decrease in life quality in elderly people, which requires developing non-pharmacological treatments. The aim of this study was to evaluate the effectivity of a group intervention, based on animal-assisted therapy and applied to elderly people with chronic joint pain and polymedication, regarding the decrease of chronic pain, use of analgesics and improvement of life quality. A randomized controlled trial, two arms and open-label was conducted in a Primary Health Center. Twelve weekly sessions of kinesitherapy; in the EG, these exercises were performed with the additional assistance of the therapy dog. A total of 52 participants (22 Control Group (CG), 30 EG), average age 77.50 (±7.3), women 90.4%. A significant reduction on post-intervention values of pain β = −0.67(−1.27, −0.08), p = 0.03 and pain induced insomnia β = −0.53(−1.01, −0.05), p = 0.03 was found in EG for increasing baseline values. Animal-assisted therapy leads to an additional reduction in the perception of pain and pain induced insomnia in individuals with higher baseline severity. The presence of the dog improves the attachment to intervention and the satisfaction of the participants.
Studies conducted in educational settings show that animals attract and maintain the attention of children. The calming effects of animals are especially valuable in children with attention deficit, hyperactivity and behavioral disorders. The primary goal was to improve the emotional well-being, in a special education school, of children with intellectual disabilities, attention problems and/or hyperactivity and behavioral disorders. A Longitudinal, Observational Study was designed, which consisted of a community intervention based on animal-assisted therapy (AAT), and performed at a Primary Care Center (PCC). Twelve weekly group sessions were held with therapy dogs; a nurse and a doctor from the PCC participated with training in AAT as well as teachers. The intervention was carried out in two classrooms at the school. The sample size was 12 children with an average age of 12.7 (SD±4.4) years. Variables studied: attention, happiness, relaxed, respect of turn. The overall improvement of the four variables was statistically significant (p <0.001), evolving in an ascending and progressive way. Throughout the sessions, a work dynamic was achieved with improved attention and respect of turns; happiness and relaxation that reflect emotional well-being remain at high levels, with the dog acting as a facilitator of the therapy. Primary Health Care can contribute to improving the quality of life of children with special needs and at risk of social exclusion by means of community interventions.
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